208 HESI PREP ASSIGNMENT FORTIS
COLLEGE.
, HESI Prep Assignment: Community Health PNR208
Student Name: Date: 06/11/2023
Directions: Fill in the nursing guidelines for each topic.
TOPICS NURSING GUIDELINES
Bioterrorism
• Anthrax Improve patency of airway.
Improve breathing pattern.
Improve swallowing.
Eliminate diarrhea.
Improve tissue integrity.
Improve temperature to normal range.
• Smallpox Practice strict infection control measures. All contaminated instruments,
surfaces, excretions, fluids, and other materials should be incinerated or
decontaminated chemically.
• Botulism 4 Ds" – dysphagia (difficulty swallowing), diplopia (double vision), dry mouth,
and dysarthria (difficulty articulating or hoarseness) as well as blurred vision
and ptosis (drooping eyelids). Patients require supportive care that
includes feeding by enteral tube or parenteral nutrition, intensive care,
mechanical ventilation, and treatment of secondary infections. Patients with
suspected botulism should be carefully monitored for impending respiratory
failure.
• Plague caused by Remove brush, rock piles, junk, cluttered firewood, and possible rodent food
Yersinia Pestis supplies, such as pet and wild animal food. Make your home and outbuildings
rodent-proof. Wear gloves if you are handling or skinning potentially infected
animals to prevent contact between your skin and the plague bacteria.
• Tularemia Antibiotics used to treat tularemia include streptomycin, gentamicin,
doxycycline, and ciprofloxacin.
• Ebola Prevention of bleeding. Restoration of normal fluid and electrolyte
balance. Prevention of shock
• Sarin Immediately remove the patient/victim from the source of exposure.
Some nerve agents may remain in the hair or clothing and should be
decontaminated, if that was not previously done. ...
Skin exposure to liquid nerve agents will not necessarily result in
systemic exposure if the site of exposure is decontaminated promptly.
Disaster
• Level III Disaster Needs to be able to critically appraise the environment, and to question
existing mechanisms as required. These nurses need to be adequately
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